PIVOT Statement: PIVOT Stands Alongside Our Community and the Community Health Centers that Serve Them to Oppose Prop 44

September 11, 2026

PIVOT is a pro-union organization. PIVOT is pro-union, but more so we are pro-community. We strongly support workers’ rights, labor protections, liveable wages, and benefits that community members have fought for and achieved through collective action in unions. PIVOT also supports our community members who rely on community health clinics (CHC) throughout California.  We oppose Prop 44 because it threatens to shut down hundreds of community health clinics (CHC) throughout the state and may force major cuts to patient services who may not have health insurance. Prop 44 harms mission-driven CHCs that provide comprehensive primary care and preventive healthcare services, and have saved lives and dollars. In medically underserved communities, community health clinics are the only source of care for hundreds of miles. If clinics are forced to close, millions of patients will have nowhere to turn for care.

Prop 44 would restrict CHCs from spending resources on essential staff and services—such as translation services, eligibility/enrollment staff, IT, billing and accounting, care management, clinic managers, and much more. These are core services that are needed for CHCs to operate their health care services.

It will also prevent CHCs from expanding their services to meet the growing healthcare needs because it penalizes them for investing their capital in their buildings and facilities. Community Health Centers like Asian Health Services, Asian Americans for Community Involvement (AACI), Northeast Medical Services (NEMS), Chinatown Community Service Center, and Korean Community Services, have emphasized the importance of language access and culturally competent care. Prop 44 would threaten their ability to continue providing care in their own languages to many of their low-income, limited English proficient patients.  This would impact many Vietnamese Americans who rely on CHCs for their medical, dental, behavioral health and other services.

Economists at the Berkeley Research Group (BRG) found this measure would cut $1.7 billion in the first year alone from community health centers and clinics. 

The policy couldn’t have come at a more risky time given the wave of federal cuts to healthcare for working and middle class Americans.  Community health clinics need more support to focus on minimizing the impacts of these cuts and prevent many of their patients from losing health coverage. 

PIVOT stands in strong support of the community members that rely on CHCs throughout California by opposing Prop 44. Stand with our community by voting No on Prop 44.

For more information, see https://noprop44.com/.